Vaginal trauma occurring while sliding down a water chute

Mushkat, Yaron; Lessing, Joseph B.; Jedwab, G.; David, Menachem P.

doi:10.1111/j.1471-0528.1995.tb10887.x

Cited by 11 publications

(3 citation statements)

References 2 publications

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“…Known as the water ski douche injury, the vaginal tear occurs in the first stage of skiing. A second case, almost identical to the previously described case, presented to the author's institution a short time later (Mushkat, Lessing, Jedwab, & David, 1995) solidifying their theory on the MOI. The water acts as a shearing force and cuts or tears the tissue within the vaginal vault, an H-shaped space trapper.…”

Section: Discussionsupporting

confidence: 71%

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Water Park Injuries

Kuensting¹

2007

Advanced Emergency Nursing Journal

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Water parks have become popular in North America in the last 30 years. Emergency departments are experiencing new challenges with injuries sustained from this form of entertainment as parks compete with new attractions containing high-velocity excitement. This review reveals some patterns of injury becoming common, particularly in premenarchal and parous women. These include what was known as the "water ski douche injury," and a new "straddle injury." Prevention includes keeping legs adducted, use of a wet suit, and avoidance of tampon use. Safety features on water slides and pool operations are discussed. Further recommendations for safety are mentioned.

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Section: Discussionsupporting

confidence: 71%

“…Ball (1998); Kunkel (1998); Mushkat et al (1995); Niv et al (1991); Perlman et al (1995); Porter et al (1997); Rudoff (1993);Smith (1996). Ball (1998); Kunkel (1998); Mushkat et al (1995); Niv et al (1991); Perlman et al (1995); Porter et al (1997); Rudoff (1993);Smith (1996).…”

Section: Discussionmentioning

confidence: 99%

Water Park Injuries

Kuensting¹

2007

Advanced Emergency Nursing Journal

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“…Douche injury, which occurs when a high-pressure water stream is injected into the orifices of the body [1], is a rare consequence of water recreation activities. Generally, this type of trauma occurs when people fall into the water in a sitting position during high-speed activities such as using a personal watercraft (PWC), water-skiing [1] or water slides [2]. Here, we report a rare case of anorectal injury caused by water jets from a PWC during sudden acceleration from rest.…”

Section: Introductionmentioning

confidence: 97%

Anorectal injury related to a personal watercraft: a case report and literature review

et al. 2020

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Background Douche injury is a rare consequence of water recreation activities. Generally, this type of trauma occurs when people fall into the water in a sitting position during high-speed activities such as using a personal watercraft (PWC). Here, we report a rare case of anorectal injury caused by water jets from a PWC during sudden acceleration from rest. Case presentation A 21-year-old male passenger on a PWC fell off backward from the rear seat when the craft suddenly accelerated. He fell into the water in a supine position with his legs open, and the water jets of the PWC struck his perineum directly. Thereafter, bleeding from the anus was seen, and he was transferred to our hospital. On physical examination, there was a deep laceration interrupting the external anal sphincter in the posterior rectal wall. Abdominal computed tomography revealed a full-layer perforation of the posterior rectal wall and leakage of feces into the extraperitoneal space, but intraperitoneal free air was not seen. Laparoscopic sigmoid loop colostomy and primary suturing of the sphincter and mucosa were performed. He did not have any complications and was discharged from our hospital 16 days after the surgery. His anal function was almost perfectly preserved, and his diverting colostomy was closed 4 months later. Conclusion Anorectal injuries related to PWCs can occur not only while traveling at high speeds, but also when suddenly accelerating from rest. A diverting colostomy should be performed for this type of trauma. In these trauma cases, clinicians must suspect complex and life-threatening anorectal injuries early.

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Personal Watercraft Injuries

Targett

Geertsema

2015

Sports Injuries

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Vaginal trauma occurring while sliding down a water chute

Cited by 11 publications

References 2 publications

Water Park Injuries

Water Park Injuries

Anorectal injury related to a personal watercraft: a case report and literature review

Personal Watercraft Injuries

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